What is personality disorder? Empowering you with the language and concepts.

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Presentation on theme: "What is personality disorder? Empowering you with the language and concepts."— Presentation transcript:

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What is personality disorder? Empowering you with the language and concepts

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Personality We all have one. It makes us unique. It shapes how we understand and interact with the world

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3 P’s Pattern of relating to self, other and the world that deviates from cultural norm. Pattern of relating to self, other and the world that deviates from cultural norm. 50-78% prisoners believed to meet criteria for one or more PD. 50-78% prisoners believed to meet criteria for one or more PD. 10% of people in the community would meet criteria for PD. 10% of people in the community would meet criteria for PD. A helpful way of thinking about PD relates to the 3 P’s A helpful way of thinking about PD relates to the 3 P’s – happens frequently P ersistent – happens frequently P ervasive – across different circumstances P roblematic – and cause problems for themselves and others

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Pros and Cons of Types Facilitates communication by the use familiar language between professionals. It’s best we’ve got at the moment. Enables quick signposting to services Rarely find “pure types” in real life. People are individuals. BPD = 5 of 9 criteria = potentially only 1 symptom overlap. Lack of empathic understanding of the origins and maintenance of the problem which is central to therapy. Stigma facilitates reactions in others which perpetuates the problem (eg. verbal attack driven by paranoid interpretation is met by defensiveness, which further creates suspicion in the individual).

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‘Normal’ continua of Antisocial Normal variation Adventurer, lives life on the edge, pioneers, risk-takers, courageous and tough. Slight pathological normal variation Does things own way, flirts with legal boundaries, dislikes daily routine, action-oriented, independent thinkers, confrontational and masterful leaders. Cusp No forensic history but only due to being good at covering their tracks, will deceive and exploit by minimising negatives and exaggerating positives but not physically cruel, industrialists, exploit legal technicalities and loopholes for personal gain, “smooth-talking businessman”, “dodgy used-car salesman”.

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‘Normal’ continua of Paranoid Normal variation Highly independent, value their freedom, sensitive to issues of power, authority and domination. Cautious and reserved with others and enter relationships only after careful consideration. Touchy, but not intimidated, when given criticism Paranoid “style” Distant from others, places premium on honesty and loyalty. Plays cards closely to chest with acquaintances. Attuned to subtleties and nuances of communication at many levels. Skeptical.

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Pros and Cons of Dimensions Research gives greater support to the dimensional view of personality Engenders a more compassionate understanding of personality Diagnostic types can be translated into dimensions No consensus about nature and number of dimensions More complex picture of personality = more difficult to comprehend and communicate to other clinicians